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NPI Code Detail

MEDICARE: TAYLOR GRAVES

MEDICARE: TAYLOR GRAVES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner3015338KY

General Provider Information

NPI Number : 1376134395
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAYLOR GRAVES
Provider Business Mailing Address
First Line : 105 HARMON HTS
Second Line :
City : STANFORD
State : KY
Zip : 40484-1111
Country : US
Telephone Number : 606-365-2141
Fax Number : 606-365-9755
Provider Business Practice Location Address
First Line : 105 HARMON HTS
Second Line :
City : STANFORD
State : KY
Zip : 40484-1111
Country : US
Telephone Number : 606-365-2141
Fax Number : 606-365-9755
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2021
Last Update Date : 06/26/2025

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1063138337 — JACOB GROSS
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Directions to “ TAYLOR GRAVES ” Practice Location

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